Aligning Forces for Quality

This program received support from the Foundation between 2005 and 2017.

Improving the quality, equality and value of regional health care markets.

Aligning Forces for Quality (AF4Q) is RWJF’s signature effort to lift the quality of health care in targeted communities, reduce racial and ethnic disparities, and provide models for national reform.

This 16-site, community-based health care quality improvement initiative ran from 2007 through 2015. The 16 geographically, demographically, and economically diverse communities that participated cover 12.5 percent of the U.S. population.

Using multi-stakeholder alliances and regional coalitions to coordinate efforts across providers and organizations, the program addressed five main areas:

  1. Measurement and public reporting of health care quality and efficiency for ambulatory physician practices and hospitals;
  2. Efforts to engage consumers as partners in their own care (consumer engagement);
  3. Adoption and spread of effective quality improvement strategies to improve care;
  4. Ensuring the equitable receipt of health care; and
  5. Integration of alliance activities with payment reform initiatives.
Aligning Forces for Quality
Visit AF4Q's archived site:
forces4quality.org

Participants at a meeting.

Aligning Forces for Quality sparked a transformation in how communities across the country improved care for local residents.
Aligning Forces for Quality sparked a transformation in how communities across the country improved care for local residents.

Aligning Forces for Quality sparked a transformation in how communities across the country improved care for local residents.

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  • Report

    Aligning Forces for Quality: A Tremendous Journey

    August 14, 2015

    Aligning Forces demonstrated—with the right leader and a diverse group of participants—it’s possible to overcome long-established silos and historical mistrust to achieve better care in a region.

  • Blog Post

    Evaluating a Ten-Year Effort to Transform Health Care

    September 21, 2016

    Research on RWJF’s quality improvement initiative, Aligning Forces for Quality, shares lessons on the barriers that health collectives face, and how successful cultural shifts have helped transform health systems.

  • Blog Post

    How Can We Measure High Value Care? Consider the Patient Point of View

    June 29, 2015

    Health care is centered around human relationships, which is why it is so important the voices of the people the system is designed to help—patients and their families—are heard by those defining and measuring care.

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